Dental Wellness Center of Sumter, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL WELLNESS CENTER OF SUMTER, LLC

Practice address

1322 Broad St Ste 90
Sumter, SC 29150-1984

Phone

(803) 883-0857

Fax

(912) 226-3489

NPI assigned

Mar 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Christie Lawrence

Title

Financial Coordinator

Phone

(912) 920-5577

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1003374414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60339",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314200339",
            "telephone_number": "912-920-5577",
            "fax_number": "912-226-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 BROAD ST STE 90",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501984",
            "telephone_number": "803-883-0857",
            "fax_number": "912-226-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL WELLNESS CENTER OF SUMTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "912-920-5577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497918759",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN010747",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Dennis, MCD, CCC-SLP
• Kenya Renee Dennis, LPC
• James William Denny II, DMD
• Richard Lee Denny, MD
• Dental Team of Sumter, P.a.
• Dermatology and Skin Surgery Inc
• Sirjana Dhillon
• Vishal Riky Dhulipala, M.D.
• Dialysis Center of Carolina LLC
• Haley A Dickens

• Dental Clinic/Center in Sumter, SC
• Providers in Sumter, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.